The Legal and Regulatory Risks of AI Machine Learning
Given that insurance rates are tightly regulated, using AI machine learning to evaluate customer risk means AI models will be used to deny coverage to customers that do not 'measure up'. Which is a problem. Because customers expect carriers to have a rational reason for why they are being rejected. And regulators and courts become concerned when certain groups, for example minority customers, are rejected at higher rates than others. Unfortunately AI machine learning models cannot explain why they make a particular decision because they are 'black box' solutions. Their creators literally cannot explain how the machine arrives at its decisions, they can only judge the results.
This means relying on AI models to sort the 'good' customers from the 'bad' ones carries large potential regulatory and legal risks should its decisions result or even just be suspected of resulting in disparate impact for a disadvantaged class.
How VeracityID Uses AI
We use AI models to help carriers sort between good and bad customers too. But we only use them as a 'Tip and Lead', as an indicator that a given customer may pose a greater than normal fraud risk. We then use our other tools such as graph analytics, business rules, mobile documentation apps and automated interaction with the customer to identify and resolve specific real risks. When a carrier using VeracityID tools declines to cover a customer they can give a specific reason that makes sense to both customers and regulators:
- "they told us address A was their home but we discovered address B was"
- "they claimed their truck was a personal vehicle but these specific images of it show commercial gear and signage"
- "they quoted a policy with their 17 year old son and then without him and then refused to either add him to, or exclude him from the policy"
Doing so both eliminates legal and regulatory risk and improves customer satisfaction because instead of simply rejecting a customer with no explanation, VeracityID allows carriers to engage in an automated interaction that gives the customer the opportunity to modify their application and still receive coverage. This means that customers who made a mistake or for whom the purchased, 3rd party data is wrong, have the opportunity to correct the record and get back on the path to coverage.
Our motto is 'stop fraud before it starts' but it's also "stop legal problems before they start".
www.veracityid.com Twitter: @veracityid.com